| NPI | 1497192116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LYNN BERTELLE Owner 786-514-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3527) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |